Medical Writer, Recent PhD/PharmD Candidates Encouraged to Apply
Lumanity
Clinical Documentation Integrity Specialist
Aledade, Inc.
full-time
Posted on:
Location Type: Remote
Location: Remote • Wyoming • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Perform chart reviews to identify opportunities for better accuracy in clinical documentation and coding.
- Evaluate and optimize end-to-end practice clinical documentation, billing and coding workflows.
- Develop and implement action plans to improve the completeness and accuracy of clinical documentation and coding.
- Work directly with Aledade practices and providers on continuous improvement of complete and accurate documentation and diagnosis coding.
- Facilitate clinical documentation and coding communication amongst key internal and external stakeholders.
- Provide guidance to field staff and practices regarding general documentation and coding best practices and risk adjustment.
- Deliver internal and external-facing education and training on clinical documentation and diagnosis coding to support value-based contracts.
Requirements
- Bachelor’s degree in a healthcare related field or equivalent work experience required
- Current certification as a Certified Professional Coder (CPC), or equivalent
- Certified Documentation Expert Outpatient (CDEO®) from AAPC or Certified Clinical Documentation Specialist-Outpatient (CCDS-O) from ACDIS.
- 3+ years of recent, relevant work experience in CDI or 5+ years as a risk adjustment auditor; 3+ years RCM or billing experience
- Familiarity with anatomy and physiology, disease processes and medical terminology
- Thorough understanding of medical coding guidelines and regulations including compliance, reimbursement, and the impact of diagnosis documentation on risk adjustment payment models
- Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts
- Ability to identify and communicate opportunities to improve documentation and diagnosis capture for accurate risk adjustment coding
- Experience working directly with physician practices and individual providers to achieve demonstrable improvement in increasing the accuracy and completeness of documentation and diagnosis coding
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical documentationcoding workflowsrisk adjustmentmedical coding guidelinesanatomy and physiologymedical terminologyCMS HCC Risk Adjustment programdocumentation best practicesbilling experiencediagnosis coding
Soft skills
communicationguidanceeducationtrainingcontinuous improvementstakeholder engagementopportunity identificationcollaborationfacilitationproblem-solving
Certifications
Certified Professional Coder (CPC)Certified Documentation Expert Outpatient (CDEO)Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
